| NPI | 1629601448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178838) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC003005) |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2022-01-29 |